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Expander breast 300cc mod hght extra proj smth natrelle at UPMC Wellsboro
32-36 Central Ave, Wellsboro, PA · UPMC · · NPI 1427501766
$3,588.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,946.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$651.42 with Aetna vs $3,438.05 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare | $651.42 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $687.61 | ↓ -81% |
| Highmark BCBS of PA | Medicare | $723.80 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $723.80 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $723.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $738.28 | ↓ -79% |
| Cigna | Medicare | $759.99 | ↓ -79% |
| United Healthcare | Medicare | $774.47 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $781.70 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,194.27 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,554.00 | ↓ -57% |
| UPMC Health Plan | Commercial | $1,577.88 | ↓ -56% |
| Highmark BCBS of PA | Commercial | $1,830.13 | ↓ -49% |
| Wirerope Works | Commercial | $2,012.16 | ↓ -44% |
| Geisinger | Commercial | $2,424.73 | ↓ -32% |
| Aetna | PEBTF Custom Network | $2,654.90 | ↓ -26% |
| Multiplan | Auto | $2,822.82 | ↓ -21% |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,822.82 | ↓ -21% |
| United Healthcare | Commercial | $3,076.15 | ↓ -14% |
| Aetna | Commercial | $3,123.20 | ↓ -13% |
| America's Choice | PPO | $3,257.10 | ↓ -9% |
| InterGroup | PPO | $3,257.10 | ↓ -9% |
| Multiplan | Worker's Compensation | $3,438.05 | ↓ -4% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,469.60 | $140.40 – $2,735.89 |
| UPMC Muncy | Muncy | $2,967.60 | $82.80 – $496.80 |
| UPMC Passavant-McCandless | Pittsburgh | $2,941.80 | $136.40 – $5,027.74 |
| UPMC Presbyterian | Pittsburgh | $4,151.40 | $96.72 – $5,601.83 |
| UPMC St. Margaret | Pittsburgh | $2,395.80 | $117.00 – $4,251.46 |
| UPMC Williamsport | Williamsport | $2,967.60 | $116.00 – $522.00 |